Lauren Kelly, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Chesterbrook, Pennsylvania. Her current practice location is
96 Chase Rd, Chesterbrook, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 213-9974.
Lauren Kelly is licensed to practice in Pennsylvania (license number SP020054) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679032189.
Provider's Profile
| Full Name | Lauren Kelly |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 96 Chase Rd, Chesterbrook, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679032189
- Provider Enumeration Date: 03/14/2019
- Last Update Date: 05/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 5496098360
- Enrollment ID: I20190516000083
Medical Identifiers
Medical identifiers for Lauren Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679032189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP020054 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lauren Kelly allows following entities to bill medicare on her behalf.
| Entity Name | Paoli Hematology-oncology Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396704946
PECOS PAC ID: 9537147566
Enrollment ID: O20040707001473 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lauren Kelly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lauren Kelly, NURSE PRACTITIONER
96 Chase Rd,
Chesterbrook, PA 19087-1228
Ph: (610) 213-9974 | Lauren Kelly, NURSE PRACTITIONER
96 Chase Rd,
Chesterbrook, PA 19087-1228
Ph: (610) 213-9974 |
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